<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01//EN">
<!-- https://secure.kneedraggers.com/cart/ -->
<html>
  <head>
    <title></title>
  </head>
  <body>
    <form method="post" name="cart" id="cart_form" action="https://secure.kneedraggers.com/cart/">
      <div>
        <table border="0">
          <tbody>
            <tr>
              <td>
                <div>
                  Your Billing Address:
                </div><!--*******************************-->
                <div>
                  <div>
                    <span>First Name</span>
                  </div>
                  <div>
                    <input maxlength="30" name="user[billing][firstname]" value="" id="BILL_FIRSTNAME">
                  </div>
                  <div></div>
                </div><!--*******************************-->
                <div>
                  <div>
                    <span>Last Name</span>
                  </div>
                  <div>
                    <input maxlength="30" name="user[billing][lastname]" value="" id="BILL_LASTNAME">
                  </div>
                  <div></div>
                </div><!--*******************************-->
                <div>
                  <div>
                    <span>Billing Address</span>
                  </div>
                  <div>
                    <input maxlength="35" name="user[billing][address_first]" value="" id="BILL_ADDRESS1">
                  </div>
                  <div></div>
                </div><!--*******************************-->
                <div>
                  <div>
                    <span>Billing Suite/Apt #</span>
                  </div>
                  <div>
                    <input maxlength="35" name="user[billing][address_second]" value="" id="BILL_ADDRESS2">
                  </div>
                  <div></div>
                </div><!--*******************************-->
                <div>
                  <div>
                    <span>Billing City</span>
                  </div>
                  <div>
                    <input maxlength="30" name="user[billing][city]" value="" id="BILL_CITY">
                  </div>
                  <div></div>
                </div><!--*******************************-->
                <div>
                  <div>
                    <span>State/Province</span>
                  </div>
                  <div>
                    <select name="user[billing][state]" disabled="disabled" id="SHIP_STATE">
                      <option value="">
                        Select State
                      </option>
                      <option>
                        --- Armed Forces ---
                      </option>
                      <option value="APO AA">
                        AA - Military
                      </option>
                      <option value="APO AE">
                        AE - Military
                      </option>
                      <option value="APO AP">
                        AP - Military
                      </option>
                      <option>
                        --- United States ---
                      </option>
                      <option value="AK">
                        Alaska
                      </option>
                      <option value="AL">
                        Alabama
                      </option>
                      <option value="AR">
                        Arkansas
                      </option>
                      <option value="AZ">
                        Arizona
                      </option>
                      <option value="CA" selected>
                        California
                      </option>
                      <option value="CO">
                        Colorado
                      </option>
                      <option value="CT">
                        Connecticut
                      </option>
                      <option value="DC">
                        District of Columbia
                      </option>
                      <option value="DE">
                        Delaware
                      </option>
                      <option value="FL">
                        Florida
                      </option>
                      <option value="GA">
                        Georgia
                      </option>
                      <option value="HI">
                        Hawaii
                      </option>
                      <option value="IA">
                        Iowa
                      </option>
                      <option value="ID">
                        Idaho
                      </option>
                      <option value="IL">
                        Illinois
                      </option>
                      <option value="IN">
                        Indiana
                      </option>
                      <option value="KS">
                        Kansas
                      </option>
                      <option value="KY">
                        Kentucky
                      </option>
                      <option value="LA">
                        Louisiana
                      </option>
                      <option value="MA">
                        Massachusetts
                      </option>
                      <option value="MD">
                        Maryland
                      </option>
                      <option value="ME">
                        Maine
                      </option>
                      <option value="MI">
                        Michigan
                      </option>
                      <option value="MN">
                        Minnesota
                      </option>
                      <option value="MO">
                        Missouri
                      </option>
                      <option value="MS">
                        Mississippi
                      </option>
                      <option value="MT">
                        Montana
                      </option>
                      <option value="NC">
                        North Carolina
                      </option>
                      <option value="ND">
                        North Dakota
                      </option>
                      <option value="NE">
                        Nebraska
                      </option>
                      <option value="NH">
                        New Hampshire
                      </option>
                      <option value="NJ">
                        New Jersey
                      </option>
                      <option value="NM">
                        New Mexico
                      </option>
                      <option value="NV">
                        Nevada
                      </option>
                      <option value="NY">
                        New York
                      </option>
                      <option value="OH">
                        Ohio
                      </option>
                      <option value="OK">
                        Oklahoma
                      </option>
                      <option value="OR">
                        Oregon
                      </option>
                      <option value="PA">
                        Pennsylvania
                      </option>
                      <option value="RI">
                        Rhode Island
                      </option>
                      <option value="SC">
                        South Carolina
                      </option>
                      <option value="SD">
                        South Dakota
                      </option>
                      <option value="TN">
                        Tennessee
                      </option>
                      <option value="TX">
                        Texas
                      </option>
                      <option value="UT">
                        Utah
                      </option>
                      <option value="VA">
                        Virginia
                      </option>
                      <option value="VT">
                        Vermont
                      </option>
                      <option value="WA">
                        Washington
                      </option>
                      <option value="WI">
                        Wisconsin
                      </option>
                      <option value="WV">
                        West Virginia
                      </option>
                      <option value="WY">
                        Wyoming
                      </option>
                    </select>
                  </div>
                  <div></div>
                </div><!--*******************************-->
                <div>
                  <div>
                    <span>Billing Postal Code</span>
                  </div>
                  <div>
                    <input disabled="disabled" maxlength="30" name="user[billing][zip]" value="94043" id="BILL_POSTAL">
                  </div>
                  <div></div>
                </div><!--*******************************-->
                <div>
                  <div>
                    <span>Billing Country</span>
                  </div>
                  <div>
                    <select disabled="disabled" name="user[billing][country]" id="BILL_COUNTRY">
                      <option value="US" selected>
                        United States
                      </option>
                      <option value="CA">
                        Canada
                      </option>
                      <option value="AL">
                        Albania
                      </option>
                      <option value="AI">
                        Anguilla
                      </option>
                      <option value="AG">
                        Antigua
                      </option>
                      <option value="AR">
                        Argentina
                      </option>
                      <option value="AW">
                        Aruba
                      </option>
                      <option value="AU">
                        Australia
                      </option>
                      <option value="AT">
                        Austria
                      </option>
                      <option value="BH">
                        Bahrain
                      </option>
                      <option value="BE">
                        Belgium
                      </option>
                      <option value="BM">
                        Bermuda
                      </option>
                      <option value="BA">
                        Bosnia and Herzegovina
                      </option>
                      <option value="BR">
                        Brazil
                      </option>
                      <option value="BN">
                        Brunei Darussalam
                      </option>
                      <option value="BG">
                        Bulgaria
                      </option>
                      <option value="CL">
                        Chile
                      </option>
                      <option value="CN">
                        China
                      </option>
                      <option value="CO">
                        Colombia
                      </option>
                      <option value="CR">
                        Costa Rica
                      </option>
                      <option value="HR">
                        Croatia
                      </option>
                      <option value="CY">
                        Cyprus
                      </option>
                      <option value="DK">
                        Denmark
                      </option>
                      <option value="EC">
                        Ecuador
                      </option>
                      <option value="EG">
                        Egypt
                      </option>
                      <option value="FI">
                        Finland
                      </option>
                      <option value="FR">
                        France
                      </option>
                      <option value="GB">
                        Great Britain / UK
                      </option>
                      <option value="GF">
                        French Guiana
                      </option>
                      <option value="PF">
                        French Polynesia
                      </option>
                      <option value="DE">
                        Germany
                      </option>
                      <option value="GR">
                        Greece
                      </option>
                      <option value="GU">
                        Guam
                      </option>
                      <option value="GT">
                        Guatemala
                      </option>
                      <option value="HN">
                        Honduras
                      </option>
                      <option value="HK">
                        Hong Kong
                      </option>
                      <option value="IS">
                        Iceland
                      </option>
                      <option value="IN">
                        India
                      </option>
                      <option value="IE">
                        Ireland
                      </option>
                      <option value="IT">
                        Italy
                      </option>
                      <option value="JM">
                        Jamaica
                      </option>
                      <option value="JP">
                        Japan
                      </option>
                      <option value="JO">
                        Jordan
                      </option>
                      <option value="KW">
                        Kuwait
                      </option>
                      <option value="MT">
                        Malta
                      </option>
                      <option value="MX">
                        Mexico
                      </option>
                      <option value="MA">
                        Morocco
                      </option>
                      <option value="NL">
                        Netherlands
                      </option>
                      <option value="NZ">
                        New Zealand
                      </option>
                      <option value="NI">
                        Nicaragua
                      </option>
                      <option value="NO">
                        Norway
                      </option>
                      <option value="OM">
                        Oman
                      </option>
                      <option value="PA">
                        Panama
                      </option>
                      <option value="PG">
                        Papua New Guinea
                      </option>
                      <option value="PY">
                        Paraguay
                      </option>
                      <option value="PE">
                        Peru
                      </option>
                      <option value="PL">
                        Poland
                      </option>
                      <option value="PT">
                        Portugal
                      </option>
                      <option value="PR">
                        Puerto Rico
                      </option>
                      <option value="QA">
                        Qatar
                      </option>
                      <option value="RE">
                        Reunion
                      </option>
                      <option value="SA">
                        Saudi Arabia
                      </option>
                      <option value="SN">
                        Senegal
                      </option>
                      <option value="SI">
                        Slovenia
                      </option>
                      <option value="ZA">
                        South Africa
                      </option>
                      <option value="KR">
                        South Korea
                      </option>
                      <option value="ES">
                        Spain
                      </option>
                      <option value="SE">
                        Sweden
                      </option>
                      <option value="CH">
                        Switzerland
                      </option>
                      <option value="TW">
                        Taiwan
                      </option>
                      <option value="TT">
                        Trinidad and Tobago
                      </option>
                      <option value="TR">
                        Turkey
                      </option>
                      <option value="AE">
                        United Arab Emirates
                      </option>
                      <option value="VE">
                        Venezuela
                      </option>
                    </select>
                  </div>
                  <div></div>
                </div><!--*******************************-->
                <div>
                  <div>
                    <span>Phone Number</span>
                  </div>
                  <div>
                    <input maxlength="30" name="user[phone_first]" value="" id="PHONE1">
                  </div>
                  <div></div>
                </div><!--*******************************-->
                <div>
                  <div>
                    <span>Email Address</span>
                  </div>
                  <div>
                    <input maxlength="165" name="user[email]" value="" id="EMAIL">
                  </div>
                  <div></div>
                </div><!--*******************************-->
                <div>
                  <div>
                    <span>Confirm Email Address</span>
                  </div>
                  <div>
                    <input maxlength="165" name="user[email_confirm]" value="" id="EMAIL_CONFIRM">
                  </div>
                  <div></div>
                </div><!--*******************************-->
              </td>
            </tr>
          </tbody>
        </table>
      </div>
      <div>
        <table border="0">
          <tbody>
            <tr>
              <td>
                <div>
                  Your Payment Information:
                </div><input name="payment[method]" type="hidden" id="PAY_METHOD_CC" value="creditcard">
                <div>
                  <div>
                    <span>Credit Card Number</span>
                  </div>
                  <div>
                    <input type="text" name="payment[cc_number]" id="CC_NUMBER" value="" size="20" maxlength="19">
                  </div>
                  <div></div>
                </div><!--*******************************-->
                <div>
                  <div>
                    <span>Expiration Month</span>
                  </div>
                  <div>
                    <input type="text" name="payment[cc_expmo]" id="CC_EXPMO" size="3" maxlength="2" value=""> <font>MM (TWO DIGIT MONTH)</font>
                  </div>
                  <div></div>
                </div><!--*******************************-->
                <div>
                  <div>
                    <span>Expiration Year</span>
                  </div>
                  <div>
                    <input type="text" name="payment[cc_expyr]" id="CC_EXPYR" size="4" maxlength="4" value=""> <font>YYYY (FOUR DIGIT YEAR)</font>
                  </div>
                  <div></div>
                </div><!--*******************************-->
                <div>
                  <div>
                    <span>CVV2/Panel Code</span>
                  </div>
                  <div>
                    <input name="payment[sigpanel]" id="CC_SIGPANEL" value="" size="4" maxlength="4"> <font><a href="#">What's this?</a></font>
                  </div>
                  <div></div>
                </div><!--*******************************-->
              </td>
            </tr>
          </tbody>
        </table>
      </div>
    </form>
  </body>
</html>
